Including store brands: Sunmark Rite-Aid Topcare Kroger GoodSense Dollar General Care One CVS ISSUE: Perrigo Company announced that, following the recent recall of certain dosing cups by its supplier, it has initiated a voluntary product recall in the US to the retail level of 2 batches of its children's guaifenesin grape liquid (100mg/5 mL) and 3 batches of its children's guaifenesin DM cherry liquid (100mg guaifenesin and 5mg dextromethorphan HBr/ 5 ml) sold in 4 oz. bottles with dosage cup in a box under multiple store brand product names. Some packages contain an oral dosing cup with incorrect dose markings. See the press release for affected label and lot numbers. At risk populations such as those who are poor metabolizers of dextromethorphan may experience an overdose by a factor of 3, if incorrect measuring levels are used. Consumers should be aware that an overd ... Read more

TUESDAY, Jan. 5, 2016 – Instead of turning to over-the-counter cough and cold remedies, parents should consider treating their children with home remedies, says a leading group of U.S. pediatricians. Like all medications, even cold and could remedies available without a prescription can cause serious side effects in young children, the American Academy of Pediatrics cautions. Because of the risks, the U.S. Food and Drug Administration in 2008 recommended that children younger than 4 years old never be treated with over-the-counter cough and cold medicines. Children between 4 and 6 years old should only take these remedies under the direction of their doctor, the academy said in a news release. But children older than 6 can safely take over-the-counter drugs if the dosage instructions on the package are followed correctly. There are safer, more convenient and less costly ways to provide ... Read more

FRIDAY, March 27, 2015 – Medications for children – even those you can buy over-the-counter – can be dangerous if a child is given too much, one expert says. That's why pharmacist Sheila Goertemoeller, of the Cincinnati Drug and Poison Information Center, wants parents and other caregivers to know how to safely administer these drugs. Before giving medication to children, parents should carefully read the instructions first and use the appropriate measuring device to prevent accidental overdoses, cautioned Goertemoeller. These precautions are especially important if you're giving medicine to a sick child in the middle of the night, Goertemoeller noted. Dosing errors are made by 41 percent of parents, according to research from the American Academy of Pediatrics. Just taking a few minutes to turn on a light and read the directions will help ensure children get the right amount, ... Read more

MONDAY, Oct. 20, 2014 – A child receives the wrong medication or the wrong dosage every eight minutes in the United States, according to a recent study. Nearly 700,000 children under 6 years old experienced an out-of-hospital medication error between 2002 and 2012. Out of those episodes, one out of four children was under a year old. As the age of children decreased, the likelihood of an error increased, the study found. Though 94 percent of the mistakes didn't require medical treatment, the errors led to 25 deaths and about 1,900 critical care admissions, according to the study. "Even the most conscientious parents make errors," said lead author Dr. Huiyun Xiang, director of the Center for Pediatric Trauma Research at Nationwide Children's Hospital in Columbus, Ohio. That conscientiousness may even lead to one of the most common errors: Just over a quarter of these mistakes involved a ... Read more

MONDAY, Nov. 11 – Restrictions placed on cough and cold medicines may be working, with fewer young children ending up in the ER because of bad side effects tied to the drugs, new research shows. The drop in kids' illnesses came about after drug manufacturers voluntarily withdrew cough and cold medications for this age group from the market in 2007, and after drug labeling changes put in place in 2008. The labeling changes advised that the products were not for use in children under 4. "The change [in ER admissions] was associated with those two events," said study author Dr. Lee Hamilton, a medical officer in the division of healthcare quality promotion at the U.S. Centers for Disease Control and Prevention. "We saw that in children under 2 years old, adverse events from cough and cold medicines dropped from one in 25 of all emergency department visits for adverse drug events to about ... Read more

TUESDAY, April 23 – More than 40 percent of American parents give over-the-counter cough and cold medicines to kids under age 4 even though they're too young for such products, a new survey finds. In young children, these medicines can cause allergic reactions, increased or uneven heart rate, slow and shallow breathing, confusion or hallucinations, drowsiness or sleeplessness, convulsions, nausea and constipation. Since 2008, labels on cough and cold medicines have warned that they should not be given to children under age 4. The use of cough and cold medicines in children in that age group did not differ by parent gender, race/ethnicity or household income, according to the University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health. The survey included 498 parents of children aged 3 and under. Children can get five to 10 colds a year, so parents often turn ... Read more

WEDNESDAY, Oct. 31 – Boys may be more likely than girls to abuse over-the-counter drugs, new study results suggest. University of Cincinnati researchers looked at over-the-counter (OTC) drug abuse among students in grades 7 through 12 in 133 schools across greater Cincinnati who took part in a 2009-2010 survey. Early analysis of the data showed that 10 percent of students said they abused over-the-counter drugs such as cough syrups and decongestants. This type of drug abuse can result in accidental poisoning, seizures and physical and mental addictions, the study authors pointed out in a university news release. High rates of over-the-counter drug abuse were found among male and female junior high school students. However, boys had a higher risk of longtime use of over-the-counter drugs compared with girls, the investigators found. Teens who reported abusing over-the-counter drugs were ... Read more

WEDNESDAY, Dec. 21 – It's prudent to limit the use of over-the-counter cold and flu medications during pregnancy, experts say. This is because some medications may contain substances that are potentially harmful to developing fetuses, or that have not been well-studied for use in pregnant women. "Every year around this time, we get a significant number of calls from pregnant and breast-feeding women in California who are battling colds and are worried about which meds they can and can't take," said Christina Chambers, professor of pediatrics at University of California, San Diego and program director at the California Teratogen Information Service. To help expectant mothers who are sick this holiday season, Chambers offered these cold medicine safety tips: Take as little as possible. Over-the-counter cold remedies could contain up to six ingredients for a wide array of symptoms, such ... Read more

-- Over-the-counter medications may seem safer because they don't require a prescription. But they can still interact badly when alcohol enters the mix. The American Academy of Family Physicians mentions these popular medications that may have adverse effects if mixed with alcohol: NSAID pain relievers, which may lead to gastrointestinal bleeding if taken while consuming as few as two alcoholic drink per week. Acetaminophen, which may cause liver damage when taken with alcohol. Some OTC antihistamines can make you drowsy when taken with alcohol. Decongestants and cough medications that contain the cough suppressant dextromethorphan can increase drowsiness when taken with alcohol. Herbal supplements, such as kava kava, St. John's wort or valerian root, may increase drowsiness if taken with alcohol. Read more

WEDNESDAY, March 2 – The U.S. Food and Drug Administration said Wednesday that it plans to remove about 500 unapproved prescription cough, cold, and allergy medicines from pharmacy shelves. These drugs have not been evaluated by the FDA for safety and effectiveness, and they may be riskier to take than approved over-the-counter (OTC) drugs that treat these same conditions, agency officials explained. "This action is necessary to protect consumers from the potential risks posed by unapproved drugs, because we don't know what's in them, whether they work properly or how they are made," Deborah M. Autor, director of the agency's Office of Compliance at the Center for Drug Evaluation and Research, said during a morning news conference. Of particular concern are drugs that have time-release formulations, Autor said. "We know from experience that these type of products are complicated to ... Read more

WEDNESDAY, Feb. 16 – Many American parents of children aged 2 and younger still give over-the-counter cough and cold medicines to their kids despite U.S. Food and Drug Administration warnings to the contrary, researchers have found. In response to research linking over-the-counter (or OTC) cough and cold medicines to poisoning or death in hundreds of children ages 2 years and younger, the FDA said in 2008 that the products should not be given to children in this age group. In addition, studies have shown that these medicines have little benefit in controlling symptoms. A new national poll of over 300 parents of children ages 6 months to 2 years found that 61 percent of parents gave OTC cough and cold medicines to their children within the last 12 months. In addition, more than half of the parents said their child's doctor said the medicines are safe for children under 2 years, and ... Read more

TUESDAY, April 27 – Children who are overweight or obese appear to metabolize over-the-counter drugs differently than normal-weight children, a new study finds. This could result in complications at both ends of the spectrum, whether kids' bodies end up with more drug than they need or less. "There could be severe implications," said L'Aurelle Johnson, senior author of the research, which was to be presented Tuesday in Anaheim, Calif., at a meeting of the American Society for Pharmacology and Experimental Therapeutics, part of the Experimental Biology 2010 conference. "There could be adverse effects if the therapeutic agent is metabolized into an active form," she explained. "They could have higher systemic circulation of this particular agent, and they might have adverse events due to [overly] high concentrations in the system." On the contrary, if the therapeutic agent is metabolized ... Read more